Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
[34] Under no circumstance does the stomach rise up, as Bichat
calls it. We have, in a preceding note, explained the ordinary
motions of this viscus, in a state of vacuity, during digestion and
under the influence of an internal or external stimulus. None of
these motions are sufficient to produce that sudden and energetic
expulsion which characterizes vomiting. The opinion that the
stomach rises up in vomiting originated in a time of ignorance,
and we ought not to be astonished that it should find advocates
even in our day. This has not however been uniformly adopted; Bayle
and P. Chirac opposed it by experiments; Senac, Van Swieten and
Duverney declared themselves against it; but Haller, by adopting
it, suddenly changed the views and removed the uncertainty of a
great number of physiologists, who, not taking the labour of making
experiments for themselves, loved to repose on the faith of a
celebrated name. In physiology the opinions of Haller are certainly
entitled to very great weight; this is because this wise observer,
before announcing them as a general proposition, was accustomed to
repeat many times the experiments on which he founded them; but in
this case he did not sufficiently question the use of the stomach
in vomiting.
He has made four experiments only, less for the purpose of
satisfying himself that the phenomenon existed, than to see it such
as he supposed it. It is very difficult, even for the best mind,
to divest itself in observing, of the ideas previously received
without examination. It may then be believed, that Haller in this
way saw but superficially. These considerations determined me some
years since, to satisfy myself of what takes place in vomiting,
and of the part which the stomach performs in it. I shall relate
briefly the experiments which I tried on the subject. The first
was made on a dog of middling size, whom I had made to swallow six
grains of emetic. When this medicine had excited nausea, I cut
through the linea alba opposite the stomach, and introduced my
finger into the abdomen. At each nausea, I felt it very powerfully
compressed above by the liver, which the diaphragm pushed down, and
below by the intestines, which were compressed by the abdominal
muscles. The stomach also appeared to me to be compressed; but
instead of feeling it contract, it appeared to me, on the contrary,
to increase in size. The nauseas became more frequent, and the more
marked efforts, which precede vomiting, appeared. Vomiting finally
took place, and then I felt my finger pressed with a force truly
extraordinary. The stomach rid itself of a part of the aliments it
contained; but I distinguished no sensible contraction in it. The
nausea having ceased for a short time, I enlarged the opening in
the linea alba, for the purpose of observing the stomach. As soon
as the incision was enlarged, the stomach presented itself at it,
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